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Member No.
109470
Expiration Date
2020-12-31
Member For
2 Years
District/State
09FL
Certification No.
2000039437
NPI No.
Chelsea Nicole Lively, ATC
1620 Valwood Pkwy, Suite 115
Carrollton, Texas 75006
214-637-6282 | 800-879-6282 | 214-736-5464 fax
www.nata.org
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